HaF Easter Camp Booking Form

Ulverston Cricket Club has adopted the ECB Child Welfare, Protection and Safeguarding Policies. It is a requirement of these policies that the parent or guardian of all participants completes this registration form.

By signing this form, you are accepting that Westmorland & Furness Council will use you/your child’s data to measure how our services are operating and you consent to share your data with the Department of Education (DfE).

Please note only the first 20 applications will receive a place on this programme.

There are 4 sessions in total. Please select the dates you would like to attend. You are welcome to attend as many as you wish.

Thursday 4th April 10am - 2.00pm*

Friday 5th April 10am - 2.00pm*

Thursday 11th April 10am - 2.00pm*

Friday 12th April 10am - 2.00pm*

If you are unable to attend for specific dates, please let us know so that we can try to allocate that date to someone else. Note that repeated non-attendance without informing us may result in your place on future dates being allocated to someone else. Please help us maximise participation.

Further applicants will be added to a waiting / reserve list for cancellations.

Child's Fullname *
Your Email *
School Year
School *
Parent / Guardian Name *

Emergency Contact Telephone *

I agree to my son/daughter/child in my care, taking part in the activities of HaF Easter Camp :

I agree*

I give consent to the use of photography in HaF Easter Camp activities in respect of my child. No photographs of individual junior players will be permitted. Team photographs will not name the players.

I agree*

 I understand that in the event of any injury or illness, all reasonable steps will be taken to contact me and to deal with that injury/illness appropriately.

I agree

It is a requirement of the club’s child welfare policy that we record information on disability, and we would therefore be grateful if you could complete the next section :

DISABILITY The Disability Discrimination Act 1995 defines a disabled person as anyone with “a physical or mental impairment, which has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day activities”.

Does your child have a disability?

Yes No*

If yes, what is the nature of the disability?

Medical Information

1. Does your child experience any conditions requiring medical treatment and/or medication?

Yes No*

If yes, please give details

2. Does your child have any allergies?

Yes No*

If yes, please give details

3. Does your child have any specific dietary requirements? 

Yes No*

If yes, please give details

4. Please provide any further information you feel is necessary

I confirm to the best of my knowledge that my son/daughter does not suffer from any medical condition other than those detailed above. I consent to my child receiving medical treatment which, in the opinion of a qualified medical practitioner, may be necessary

Print Full Name : *

Date : *